Application

It is the continuing policy of HEATEX Industries, Inc., (hereafter referred to as “the Company”), or any of its subsidiaries and divisions to provide equal employment opportunity to qualified individuals regardless of race, creed, color, sex, age, national origin, ancestry, religion, physical or mental handicap/disability, military or veteran status, marital status, sexual orientation or other classification protected by law.

Employment opportunities at the Company are and shall be open to all qualified applicants solely on the basis of his/her performance, ability, attitude and potential for promotion.

The Company is committed to providing reasonable accommodations to disabled employees where necessary, feasible and required by law.

I certify that the information I have provided in this application and/or during the interview process is true, accurate and complete to the best of my knowledge. I understand that any falsification, misrepresentation, omission, stated or implied, of fact on this application may result in the denial of employment or immediate termination if I am hired, regardless of when or how discovered.

I agree that HEATEX Industries, Inc., (Hereafter referred to as “the Company”), or its authorized representatives may verify all information in this application, in the resume, or during the interview. I hereby authorize all individuals and organizations referred to or in this application give the Company, or its authorized representatives, all information relative to such verification and hereby release such individuals, organizations, and the Company from any and all resulting liability for any claim or damages related to this information.

I understand that I must take and pass a test for current illegal drug use. I also understand that if I am offered a position, my final acceptance may be conditioned upon the satisfactory completion of a medical examination. If I am employed, I also agree to submit to any lawful drug or alcohol testing and understand that refusal to submit to such testing during the course of my association with the Company may result in action up to and including termination. I authorize any physician, laboratory, or collection site to release to the Company the results of any test or examination conducted prior to or during employment.

If hired, I agree to abide by all of the company rules and regulations, and understand that, if employed, my employment may be terminated with or without cause, and with or without notice, at any time, at the option of either the company or me.

I understand that federal law prohibits the Company from hiring any person, who cannot present documents which establish eligibility to work in the United States, and that if selected for hire; I will be required to provide such documents as a condition of work.

EQUAL EMPLOYMENT OPPORTUNITY

It is the continuing policy of HEATEX Industries, Inc., (hereafter referred to as “the Company”), or any of its subsidiaries and divisions to provide equal employment opportunity to qualified individuals regardless of race, creed, color, sex, age, national origin, ancestry, religion, physical or mental handicap/disability, military or veteran status, marital status, sexual orientation or other classification protected by law.

Employment opportunities at the Company are and shall be open to all qualified applicants solely on the basis of his/her performance, ability, attitude and potential for promotion.

The Company is committed to providing reasonable accommodations to disabled employees where necessary, feasible and required by law.

EMPLOYMENT APPLICATION ACKNOWLEDGEMENT

I certify that the information I have provided in this application and/or during the interview process is true, accurate and complete to the best of my knowledge. I understand that any falsification, misrepresentation, omission, stated or implied, of fact on this application may result in the denial of employment or immediate termination if I am hired, regardless of when or how discovered.

I agree that HEATEX Industries, Inc., (Hereafter referred to as “the Company”), or its authorized representatives may verify all information in this application, in the resume, or during the interview. I hereby authorize all individuals and organizations referred to or in this application give the Company, or its authorized representatives, all information relative to such verification and hereby release such individuals, organizations, and the Company from any and all resulting liability for any claim or damages related to this information.

I understand that I must take and pass a test for current illegal drug use. I also understand that if I am offered a position, my final acceptance may be conditioned upon the satisfactory completion of a medical examination. If I am employed, I also agree to submit to any lawful drug or alcohol testing and understand that refusal to submit to such testing during the course of my association with the Company may result in action up to and including termination. I authorize any physician, laboratory, or collection site to release to the Company the results of any test or examination conducted prior to or during employment.

If hired, I agree to abide by all of the company rules and regulations, and understand that, if employed, my employment may be terminated with or without cause, and with or without notice, at any time, at the option of either the company or me.

I understand that federal law prohibits the Company from hiring any person, who cannot present documents which establish eligibility to work in the United States, and that if selected for hire; I will be required to provide such documents as a condition of work.

I acknowledge that I have read and understand the above statements and hereby grant permission to confirm the information supplied on this application by me.

APPLICATION

All applicable sections of this application must be completed prior to consideration of employment with HeatEx Industries, Inc., (hereafter referred to as “the Company”), or any of its subsidiaries and divisions. All information requested on this form will be used solely to evaluate your ability to perform the job for which you are applying.

Please indicate the positions that you may be applying for. NCCER or NCCCO certifications are required where applicable. Descriptions for these positions may be found on the Company web site or at the corporate office when applying.

PERSONAL DATA

Are you at least eighteen (18) years of age or, if you are applying for a position driving a company vehicle or operating heavy equipment, are you at least twenty-one (21) years of age?

YesNo

If hired can you show proof of age?

YesNo

Can you, after employment submit verification of your legal right to work in the United States?

YesNo

Type of Employment Desired

Full-timePart-timeTemporary

Have you ever been employed or have you previously applied for employment with the Company or any affiliate?

YesNo

Will you work shifts?

YesNo

Will you work alternating shifts?

YesNo

Have you ever been convicted of a criminal offense which has not been annulled or sealed by a court? If yes, please provide date, location and description below.

YesNo

A disclosure of a prior conviction for criminal offenses does not automatically exclude you from employment and will be considered only as it relates to your fitness to perform in the position for which you are applying however the omission of this requested information will be sufficient cause for cancellation of my application or my immediate dismissal from the Company. My signature below indicates my understanding.

EDUCATION DATA

Education

Please list any schools and/or trade schools you have attended, or courses you have taken that may be job related or that you feel would be of value to this job or company.

High School

Did you graduate?

YesNo

College

Did you graduate?

YesNo

Business / Trade School

Did you graduate?

YesNo

Other

Did you graduate?

YesNo

Licenses or Certifications

Please list any licenses and/or certifications you have earned that may be job related or that you feel would be of value to this job or company.